Pürschel W, Pahl O
Z Hautkr. 1985 Apr 15;60(8):661-70.
Absolute number of eosinophilic leucocytes, total IgE level, and specific IgE antibodies against the environmental antigens cock's foot, house-dust, and house-dust mite (dermatophagoides pteronyssinus) were obtained from 25 patients suffering from atopic dermatitis at the beginning as well as towards the end of hospital treatment in the maritime climate of the North Sea. Initially the absolute eosinophilic leucocytes were increased. According to the improvement of the atopic skin lesions, there was a significant decrease up to normal rates in several cases at the end of hospital treatment. The increased number of eosinophilic leucocytes observed at the beginning of therapy was correlated to the total IgE level. On an average, pathologic initial rates of total IgE going along with acute lesions decreased during hospital treatment; but this observation may be statistically accidental, the cutaneous lesions, however, completely disappeared. Elevated initial rate of antigen-specific IgE antibodies, as well, showed obvious reduction, but they did not reach normal values in any case. According to update knowledge, the IgE level in serum seems to be predominantly controlled by a multifactorial genetic system.
在北海海洋性气候条件下,对25例特应性皮炎患者在住院治疗开始时以及接近结束时,测定了嗜酸性白细胞的绝对数量、总IgE水平以及针对环境抗原鸭茅、屋尘和屋尘螨(粉尘螨)的特异性IgE抗体。最初,嗜酸性白细胞的绝对数量增加。随着特应性皮肤损害的改善,在住院治疗结束时,有几例显著下降至正常水平。治疗开始时观察到的嗜酸性白细胞数量增加与总IgE水平相关。平均而言,与急性损害相关的总IgE初始病理水平在住院治疗期间有所下降;但这一观察结果可能在统计学上是偶然的,不过皮肤损害完全消失了。抗原特异性IgE抗体的初始升高水平也有明显降低,但在任何情况下都未达到正常水平。根据最新知识,血清中的IgE水平似乎主要由多因素遗传系统控制。